{"npi":"1780172916","type":"NPI-2","status":"active","name":{"display":"Kiamichi Family Medical Center, INC","other":[],"organization_name":"KIAMICHI FAMILY MEDICAL CENTER, INC","authorised_official":"Amy Gilbreath"},"specialty":{"primary_taxonomy":"261QF0400X","primary_taxonomy_description":"Federally Qualified Health Center","slug":"fqhc","schema_org_specialty":"PrimaryCare","all":[{"code":"261QF0400X","description":"Federally Qualified Health Center","primary":true,"state":null,"license":null}]},"addresses":[{"purpose":"LOCATION","street_1":"510 S PARK DR","city":"BROKEN BOW","state":"OK","postal_code":"747285330","country_code":"US","phone":"5802415294"},{"purpose":"MAILING","street_1":"6026 BATTIEST PICKENS RD","city":"BROKEN BOW","state":"OK","postal_code":"747285033","country_code":"US","phone":"5802415294","fax":"5804472908"}],"license":null,"identifiers":[],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"O20180724001230","type_code":"00-04","type_desc":"PART A PROVIDER - FEDERALLY QUALIFIED HEALTH CENTER (FQHC)","state":"OK","pac_id":"7315855541"},{"enrlmt_id":"O20181127003118","type_code":"12-70","type_desc":"PART B SUPPLIER - CLINIC/GROUP PRACTICE","state":"OK","pac_id":"7315855541"}]},"enumeration_date":"2018-04-24","last_updated":"2018-04-26","_meta":{"source":"NPPES","snapshot_date":"2018-04-26","doc_url":"https://findmynpi.com/api"}}